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  • Title
  • Introduction
  • Overview
  • 1. Placement of Umbilical Port
  • 2. Inspection of Abdominal Contents
  • 3. Identification and Mobilization
  • 4. Excision of Mass
  • 5. Lysis of Adhesions
  • 6. Closure

Laparoscopic Gastric Wedge Resection

31785 views

Martin Goodman, MD
Tufts University School of Medicine

General Surgery

Procedure Outline

Table of Contents

  1. Port placement (Umbilical port)
    1. Inspection of abdominal contents
      1. Placement of lateral ports
        1. Identification of stomach and greater omentum
        2. Mobilization of greater omentum and entry into lesser sac
        3. Identification of mass
        4. Excision of mass
      2. Lysis of adhesions
        1. Closure
          1. Incise skin and dissect down to fascia.
          2. Place fascial stay sutures and open fascia and peritoneum.
          3. Sweep any abdominal structures away from port site with finger sweep.
          4. Place umbilical port.
          5. Other two ports placed under direct vision of camera passed through abdominal port.
          1. Identify any peritoneal adhesions.
          1. Under direct vision via umbilical port
          1. Ligasure used to divide short gastric vessels close to edge of greater curvature of the stomach.
          1. Mass tattooed preoperatively by gastroenterology service.
          1. Endo-GIA stapler with 45mm load used to staple across base of mass.
          1. Removal of specimen via endo-catch bag
          2. Inspection of abdominal contents and gastric staple line
          3. Fascial closure
          4. Infiltration of local anesthetic

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          Authors

          Filmed At:

          Tufts University School of Medicine

          Article Information

          Publication Date
          Article ID11
          Production ID0066
          VolumeN/A
          Issue11
          DOI
          https://doi.org/10.24296/jomi/11